CAJ | 학술논문

急性肾损伤（ AKI）是一种发生率和病死率较高的临床综合征。为提高对AKI的认识，有学者提出肾脏病发作的概念，其后透析质量指导组（ ADQI）发布了2013广义AKI分类和诊断建议。ADQI广义标准将AKI分为单纯尿肾小管损伤标志物阳性、血清肌酐未升高和功能损伤标志物阳性（血清肌酐急性升高或尿量快速减少）两类。肾脏病发作概念及广义AKI诊断标准的提出将进一步推进AKI的早期诊断、预防和治疗决策。（中华检验医学杂志，2014，37：404-405）
급성신손상（ AKI）시일충발생솔화병사솔교고적림상종합정。위제고대AKI적인식，유학자제출신장병발작적개념，기후투석질량지도조（ ADQI）발포료2013엄의AKI분류화진단건의。ADQI엄의표준장AKI분위단순뇨신소관손상표지물양성、혈청기항미승고화공능손상표지물양성（혈청기항급성승고혹뇨량쾌속감소）량류。신장병발작개념급엄의AKI진단표준적제출장진일보추진AKI적조기진단、예방화치료결책。（중화검험의학잡지，2014，37：404-405）
Acute kidney injury ( AKI) is a clinical syndrome associated with increased morbidity and mortality, and early recognition is critical .In an attempt to engage laypeople and non-experts,the term kidney attack has been introduced to refer to acute kidney injury (AKI),and AKI with functional loss and tubular damage can be diagnosed both with functional criteria ( CRIAKI, creatinine increase AKI ) and damage criteria ( NCRIAKI, non-creatinine increase AKI ) according to the most recent ADQI consensus .This comprehensive definition of Acute Kidney Syndromes may be a major advancement in terms of early referral , prevention of progression and therapeutic strategies for AKI .